Test Your Knowledge on Acute Otitis Media and Acute Otitis Externa in Urgent Care (Postscript 2 of 2)

Evidence-Based Urgent Care Postscript
Diagnosis and Management of Acute Otitis Media and Acute Otitis Externa for the Urgent Care Clinician | August 2024

A 25-year-old woman presents with left ear pain for 2 days after swimming. You see a very edematous external auditory canal and tenderness of the pinna in an otherwise well-appearing patient. You only have partial visualization of the tympanic membrane. What are the most appropriate next steps in management?

  1. Prescribe topical antibiotics and provide administration education
  2. Remove this patient’s cerumen with a curette under direct visualization and prescribe ofloxacin drops.
  3. Prescribe ciprofloxacin/dexamethasone in combination with topical antibiotics
  4. Prescribe topicalpolymyxin B/neomycin/hydrocortisone

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